Insurance Claims Specialist

Job Summary

Managing patient account balances, the full-time Insurance Claims Specialist will ensure accurate claim submission, compliance with billing regulations, and timely follow-up while providing excellent customer service in a remote work environment.

Key responsibilities

• Submits accurate and timely claims to third party payers and resolves claim edits and account errors
• Contacts third party payers to resolve unpaid claims and adheres to follow-up procedures to maximize collections
• Completes reports and performs clerical duties as needed to support departmental operations

Required qualifications

• High School diploma or equivalent
• One (1) year of medical billing or medical office experience preferred
• Knowledge of medical terminology and billing regulations
• Familiarity with ICD-10 and CPT coding processes is preferred
• Ability to effectively use computers and payer portals for claim status verification